{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:42:58Z","timestamp":1777934578750,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T00:00:00Z","timestamp":1671580800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Oncol Pharm Pract"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The use of immune checkpoint inhibitors (ICIs) in combination with chemotherapy is commonplace. This study sought to determine whether the omission of corticosteroids from the antiemetic regimen in patients receiving chemoimmunotherapy changes control of nausea and time on ICI therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-site, retrospective, observational study was conducted at Veteran Health Indiana, a level 1A Veterans Affairs tertiary care facility. All patients who received concurrent chemoimmunotherapy between January 1, 2018, and December 31, 2020, were included. The replacement of corticosteroids with olanzapine in chemoimmunotherapy regimens occurred on March 27, 2019. Outcomes were compared in patients who received corticosteroids as part of antiemetic prophylaxis versus patients in whom corticosteroids were omitted. Outcomes included the proportion of patients achieving an anti-nausea complete control response (CCR) or partial control response (PCR) with antiemetic prophylaxis, and the time on ICI therapy in months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventy-two patients received a chemotherapeutic agent with a concomitant ICI during the designated time frame and were included for anti-emetogenic and ICI efficacy analysis, 36 patients received corticosteroids with chemoimmunotherapy and 36 patients did not. CCR was achieved in 55.6% of patients who received corticosteroids and in 69.4% of patients who did not. PCR was 19.4% versus 25.0%, respectively. Removal of corticosteroids from chemoimmunotherapy regimens did not result in a significant difference in nausea control or time on ICI therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Results suggest corticosteroids may be safely continued, or removed and replaced by other novel agents for chemotherapy-induced nausea and vomiting when administered with ICIs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10781552221146528","type":"journal-article","created":{"date-parts":[[2022,12,22]],"date-time":"2022-12-22T01:40:55Z","timestamp":1671673255000},"page":"1661-1666","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Tolerability and efficacy of chemoimmunotherapy when administered with a corticosteroid-free anti-emetic regimen"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7283-0925","authenticated-orcid":false,"given":"Jay","family":"Tieri","sequence":"first","affiliation":[{"name":"Department of Pharmacy, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA"},{"name":"Department of Pharmacy, Veteran's Healthcare System of the Ozarks, Fayetteville, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9506-7811","authenticated-orcid":false,"given":"Brent","family":"Harris","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA"},{"name":"University of Kentucky HealthCare, Lexington, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori","family":"Melikian","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Bullington","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA"},{"name":"VA National Teleoncology Program, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9375-3287","authenticated-orcid":false,"given":"Chad","family":"Naville-Cook","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brooke","family":"Crawford","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,12,21]]},"reference":[{"key":"bibr1-10781552221146528","unstructured":"National Comprehensive Cancer Network. Antiemesis (Version 2.2022) (accessed 25 October 2022)."},{"key":"bibr2-10781552221146528","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.20.01296"},{"key":"bibr3-10781552221146528","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-016-3449-y"},{"key":"bibr4-10781552221146528","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198408303110901"},{"key":"bibr5-10781552221146528","doi-asserted-by":"publisher","DOI":"10.21037\/apm.2018.03.09"},{"key":"bibr6-10781552221146528","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(19)30678-3"},{"key":"bibr7-10781552221146528","unstructured":"National Comprehensive Cancer Network. Non-Small Cell Lung Cancer (Version 5.2022) (accessed 25 October 2022)."},{"key":"bibr8-10781552221146528","unstructured":"National Comprehensive Cancer Network. Small Cell Lung Cancer (Version 1.2023) (accessed 25 October 2022)."},{"key":"bibr9-10781552221146528","unstructured":"National Comprehensive Cancer Network. 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Common Terminology Criteria for Adverse Events, (Version 5.0) (accessed 26 October 2022)."},{"key":"bibr18-10781552221146528","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2017.74.4375"},{"key":"bibr19-10781552221146528","doi-asserted-by":"publisher","DOI":"10.1002\/onco.13680"},{"key":"bibr20-10781552221146528","first-page":"127","volume":"11","author":"Tran JM","year":"2021","journal-title":"J Hematol Oncol Pharm"},{"key":"bibr21-10781552221146528","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2021.39.15_suppl.e21591"},{"key":"bibr22-10781552221146528","doi-asserted-by":"publisher","DOI":"10.1111\/cas.12146"}],"container-title":["Journal of Oncology Pharmacy Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10781552221146528","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10781552221146528","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10781552221146528","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T02:27:45Z","timestamp":1777688865000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10781552221146528"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,21]]},"references-count":22,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1177\/10781552221146528"],"URL":"https:\/\/doi.org\/10.1177\/10781552221146528","relation":{},"ISSN":["1078-1552","1477-092X"],"issn-type":[{"value":"1078-1552","type":"print"},{"value":"1477-092X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,21]]}}}